Purchaser Name: Phone #:

Street Address: Fax #:

City: State: Zip Code:

Email Address:

Model #: Serial #:

Date of Purchase:

Purchased From:

Dealer's Name:

City: State: Zip:

HOW DO YOU LIKE OUR PRODUCT?

We at Emperor Aquatics, Inc., take your comments about our products very seriously. Please take a few moments to answer these questions and return with your product registration.

Was this product packaged well?                                                                                        YES NO

Did you receive all the parts and instructions with the unit?                                           YES  NO

Were the instructions easy to understand?                                                                       YES  NO

Was the product installed by someone other than yourself?                                          YES NO

If yes, list installer's name.

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